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General NPI Number Information
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NPI Number | 1114686433
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Entity Type | Individual
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Provider Name | TESSA SCIALES
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Gender | Female
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 375 N STEPHANIE ST BLDG 21
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City | HENDERSON
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State | NV
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Zip | 89014-8771
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Country | US
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Telephone | 702-799-9710
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Fax |
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Provider Business Mailing Address
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Address Line | 825 SLEEPY MOON AVE
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City | HENDERSON
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State | NV
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Zip | 89012-2625
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Country | US
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Telephone | 702-449-5058
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | IC-2899
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License Number State | NV
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